Double free-flap reconstruction of massive defects involving the lip, chin, and mandible

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Double free-flap reconstruction of massive defects involving the lip, chin, and mandible.

Two patients with massive, composite defects of the total lower lip, chin, and anterior mandible underwent double free-flap reconstruction. A fibular osteoseptocutaneous flap was used to reconstruct the mandible and floor of the mouth and a radial forearm fasciocutaneous composite flap, including the palmaris longus tendon, was used for total lower lip and chin reconstruction. Postoperatively, ...

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Reconstruction of mandible by free fibular flap.

OBJECTIVE To determine the results of using the free vascularized fibular flap for comprehensive reconstruction of postresection or post-traumatic mandibular defects. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Oral and Maxillofacial Surgery, King Edward Medical University, Lahore, from March 2007 to June 2009. METHODOLOGY The study group consisted of patients who ...

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Modern Mandible Reconstruction Utilizing the Chimeric Fibula Free Flap and Double-Barreling Techniques.

Introduction The fibula osteocutaneous flap is now commonly used to reconstruct composite mandibular defects. Difficulties in flap execution are invariably related to the dynamic relationship of the bone orientation and the skin paddle inset. Traditional design has been limited to a single-strut bony design in order to restore mandibular continuity, without restoration of mandibular height and ...

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Reconstruction of the mandible by fibula free flap.

BACKGROUND The most frequent cause of defect in the mandible is tumor-related surgery. Larger defects or anterior arch defects cause severe morbidity due to disturbances in function and esthetics. OBJECTIVES To assess the outcome of free tissue transfer for mandible reconstruction. METHODS Since 1998 we operated on 11 patients with mandible defects using the fibula flap as the reconstructio...

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Double Hatchet Flap for the Reconstruction of Scalp Defects.

tion, and the lipidized DF, with a homogeneous yellowish area.3,6 Although initially considered rare, sebaceous structures are identified in more than 15% of DFs,4,5,7 even in multiple forms.8 This finding is typical in lesions localized in the anatomical area of the shoulder (shoulder, proximal region of the arm, upper back and deltoid region), being observed in more than 40% of these cases, p...

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ژورنال

عنوان ژورنال: Microsurgery

سال: 1998

ISSN: 0738-1085,1098-2752

DOI: 10.1002/(sici)1098-2752(1998)18:6<372::aid-micr6>3.0.co;2-f